| NPI | 1083417968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD HAYDOCK Chief Operating Officer 419-304-2168 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2025-03-28 |
| Last Update Date | 2025-03-28 |